Medical road

Chapter 497

Peeling with bare hands is just like peeling off the outer layer of cooked egg shell and egg whites. The skin of some eggs is very difficult to peel. If it is still a hot egg, it is even harder to peel.

Single Wang is fast, but without skill, this kind of egg won't be ready after peeling, the egg white is almost peeled, leaving the yolk.The peeling of benign liver tumors is exactly the same as peeling this egg.

Soon, the peeling is not clean, slow, and the operation time becomes longer, which will increase the patient's chance of infection.Energetic is either breaking the tumor or hurting the liver.

This kind of operation is not difficult, but it is very trivial, and the tumor must be peeled off cleanly. This thing, leaving a little bit of wildfire blowing and regenerating things, maybe the second recurrence, it will be completely cancerous.

Therefore, a good doctor who does the operation will peel this thing just like the old driver is peeling the clothes of a beautiful woman. It must be rhythmic, otherwise it will be very boring. It is conceivable that the egg with a big fist needs to be cleaned with a little tweezers. , How many tweezers have to be used, people who are impatient or may throw all the eggs.

Zhang Fan is such a rhythmic doctor, who can't play Shao Hua, can't you play your little egg!Holding the egg in one hand and the electric knife in the other, use the middle finger of the electric knife to gently insert the gap between the liver and the tumor.

Gently insert it, then gently shake it left and right, and then pull it out. Around the oval tumor, Zhang Fan's middle finger goes in and out.The blood supply of the liver is very rich, and no matter benign or malignant tumors, the blood supply of the liver is more abundant.

Their blood vessels, like spider webs, derive countless small blood vessels from the liver into the tumor.Zhang Fan's white fingers entered the gap between them, and they came out with blood.

Then gently press the tumor toward the other side to expose the bleeding area, and use the electric knife to directly enter the bleeding point, and lightly, nourish!There was a sound, the smoke came out, it was over, continue.

Gently tap the water, hold the electric knife in a steady hand, and accurately coagulate in a small space.No more, no scars, even the scars of electrocoagulation.

It was so precise that the director of hepatobiliary surgery couldn't help but admire it.Using an online language is: Your uncle is still your uncle, although young.

In the little green smoke, the tumor was slowly excavated from the liver. When Zhang Fan used an electric knife to cut away the last trace of adhesion, the benign tumor in the liver was completely cut off by Zhang Fan.

This thing is like a big cooked egg.It feels a little tough to pinch it, and it feels like I can pinch out the water inside.How to say it, it's a bit like a steamed bun made of high-quality flour, pinch it, let it go, and it will definitely rebound.

"Knife!" Zhang Fan held the gadget in his hand, and said to the nurse after he was far away from the patient's incision area.

When the doctor is operating, the equipment nurse is not idle. She must be clear about what equipment the doctor needs in the next step, keep it at hand, and be ready to pass it on at any time.

When the doctor didn't need the instruments, she had to wipe clean the blood-stained instruments. There were hundreds of instruments, which the doctor wanted, she had to get them as soon as she wanted them, all of which have been tempered.

Zhang Fan took the scalpel, put the cut tumor into the curved plate, and cut it directly with the knife, just like cutting a watermelon, cutting the egg into four pieces.

"Look, there is nothing wrong with the tissue inside the tumor."

"Yes, Zhang Yuan, everything inside is normal and not rotted."

All three assistants stretched their necks and glanced.Malignant tumors grow too fast and fiercely. Generally, malignant tumors with the size of eggs have cells inside because nutrients can no longer come in, so they are absolutely rotten, just like starved carrion.This is why patients with malignant tumors are prone to high fever and infection.

Benign tumors don't.The organization inside and outside is the same.

And what is the benign tumor of the incision? It looks like a durian. The inside is tender and watery, but because of the presence of blood vessels, the color is red with white, or it is like a brain flower.

"Let the family take a look, and then take a quick medical examination."

"Okay." After the itinerant nurse took the tissue tape, she went out with a bloody tumor.

After a while, the medical report is benign.

Close the belly.

The abdomen, the last step of the operation, is also a more tangled step, because the operation will be done immediately. If there is no place to be done during the operation, the surgeon will be worried.

Before that, the doctor must go through the operation in his mind to stop the bleeding satisfied?Has the source of the disease been completely controlled?Is it cut off?Has the anastomosis been processed?Will internal hernia happen!Is the drainage tube in place?No need for special leakage.

These issues must be clear.Otherwise, wait for the entanglement, so the doctor must not only concentrate, but also have a clear memory of the procedure during the operation.

There is a proverb in general surgery: After the abdominal cavity is opened, the initiative is in your hands. You can do whatever you want, making the operation bigger or smaller; after the abdominal cavity is sutured, the initiative is controlled by it, and you have to look at its face. For example: abdominal distension, you have to deal with it, blood pressure drops in the middle of the night, you have to come from home.

After Zhang Fan went through the procedure quickly in his mind, he began to close his abdomen.

After the two operations in the morning, Zhang Fan was a bit tired. One more operation is not just more than an hour's workload. The longer the time, the more the doctor's energy will be doubled.

After the operation, Zhang Fan reluctantly ate a few mouthfuls of rice. If you didn’t eat it, there was an operation in the afternoon. After eating, Zhang Fan quickly lay on the floor of the operating room. He had to squint for a while. After ten minutes, the energy is different.

While Zhang Fan was undergoing surgery in the affiliated hospital, a private jet from Almaty flew directly to the Niaocheng Airport.And the leadership level of the pick-up is not low. The big leader of Bird City Petroleum and an official of the Chinese Ministry of Foreign Affairs appeared at the airport.

Zhang Fan didn't care about Shao Hua when he entered the operating room.After Zhang Fan left in the morning, Shao Hua was almost late. He fell asleep too late last night, and when he got up, the sun was in the sky.The girl hurriedly put on her clothes and went to the meeting.

In the afternoon, Zhang Fan asked the director of the Second Hepatobiliary Department to undergo surgery first, but the director of the Second Hepatobiliary Department did not do it.It is better to cross one side of the eye after a thousand times.

He saw that Zhang Fan's operation seemed easy and simple, and he felt that he was almost done. As a result, he was a little timid when he was in the middle of the tumor.

No doctor can succeed in the operation. He is stuck in this place this time, so he can only continue to observe, continue to figure out, and wait for more than a dozen more channels to pass this hurdle. As for when the independent operation can be truly performed, it is estimated It will take a while.

After Zhang Fan took the position of the main knife, he proceeded to the operation.When Zhang Fan started the operation, it was immediately different. When the director of the Second Hepatobiliary Department performed the operation, it was like a three-year-old child lifting a big tripod.

He is afraid of not being afraid or not knowing, anyway, the people watching are scared and trembling, and Zhang Fan's operation is like an art, which can make people express pleasant admiration!

"Well, it's delicious." In the afternoon, after Shao Hua finished the meeting early, he waited for Zhang Fan while eating cake at the cake shop near the affiliated hospital.

Border cake shop, the most famous cake shop, grapes are ripe!